Loading...
HomeMy WebLinkAbout2345 CAMINO VIDA ROBLE; ; CB053081; Permit08-29-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB053081 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2345 CAMINO VIDA ROBLE CBAD PLUM 2130502700 Lot #: 0 Construction Type: NEW CHUAO CHOCOLATIER FACTORY UNDERGROUND PLUMBING ONLY Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/29/2005 MDP 08/29/2005 08/29/2005 Applicant: CUSTOM PLUMBING 740METCALFSUITE4 ESCONDIDO, CA 92025 619-743-2276 Owner: WELLS FARGO BANK TR P O BOX 63700 SAN FRANCISCO CA 94163 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 1 0 0 1 0 0 0 $20.00 $7.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $34.00 Total Fees:$34.00 Total Payments To Date:$0.00 Balance Due:$34.00 553? '09/29/05 0002 01 COF- Inspector: FIN A Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions." You have 90 days from the date this permit was issued to protest imposition ol these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date _ Addreas (include BIdg/Suite"'"'Z-Hf eAM.ua1 Name (at ihj*.addihi&ac dfassj g$± Legal Description Subdivision Name/Number Unit No.Phase No.Total « of units Assessor's Parcat #Existing Use ProposedJJse Description of Work f of Stories f Bedrooms * of Bathrooms Name Aoaiess Name Address ' ' Citv State/Zip Telephone » &tiliSi&ifi»WB^^ (Sec. 7Q31 .5 Business and Professions Code: Any City 01 County which requires • permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he ia exempt therefrom, and the basis for the alleged exemption. Any violation at Section 7031 .5 by any applicant tor a permit subjects the applicant to a civil penalty of not moie than live hundred dojtois 1S5OOI). £56 Name State License * Address License Class City State/Zip City .Business License i Designer Name State License * Address City late/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance work for which this permit is issued. tave and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is My worker's compensation insurance carrier and policy number are: Insurance Company fg^V) J"\l3& Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) P CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit i« issued, I shall not employ any person in any manner so as to become subject to the Wo/tcehi' Compensation Law* of California. WARNING: Failure to seven workers' compensation coverage ta unlawful, end ehej subject en employer to criminal penalties Mid dvtt tine* up to one hundred thousand dollars (f J SIGNATURE /addition to the coat of compensation, damages aa provided for In Section 3706 of the DATE i, interaat and attorney's fees. I hereby affirm that t am exempt from the Contractor's license Law for the following reaton: Q I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvamenta are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). Q I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason; 1. I personally plan to provide the major tabor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plw\ to provide portion* of the wotk, but I hive hired the following person to coordinate, supervise and provide the major work (include name I addiea* / phone number / contractors license number): 6. I will provide some of the work, but I hav« contracted (hired) the following, persons to provide the work Indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE ta th« applicant or future building occupaot requited to submit a business plan, acutely hazardous materiel* registration form ot risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 Q YES JQ NO to the applicant or future building occupant raquiiad to obtain a permit from the air pollution control district or air quality management district? Q YES *^gj NO Is the facility to be constructed witnin 1,000 feet of the outer boundary of a school site? Q YES HJ NO / IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ift^i^MlsiBute^ .•,uu;. :.\,v;.. •-. .• .. ••'• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME I certify that I have read the application and state that the above information is correct and that the information on the plan* i* accurate.' I agree to comply with all C.ty ordinancea end State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned ^?^LVc™"TtCt°n '""P08*8- ' ALSO AQREE T0 SAVE- INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIESJUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRA^NG OF THIS PERMIT OSHA: An OSHA permit is required for excavations over 5'G" deep and demolition ot construction of structures over 3 stories in height. PT" 1SSU6d TW'dln9 °fticifli ""*" ** PiwWoni °* t"* c«>e shall expire by limitation and become null and void if the building or work^^ APPUCANT'S DATE WHITE: Fila YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/08/2005 Permit* CB053081 Title: CHUAO CHOCOLATIER FACTORY Description: UNDERGROUND PLUMBING ONLY Inspector Assignment: PC 2345 CAMINOVIDAROBLE Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT CUSTOM PLUMBING Owner: Remarks: Phone: 7607153172 Inspector: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By: HARRY Entered By: CHRISTINE Act Comment \i Associated PCRs/CVs Inspection History Date Description Act Insp Comments 09/30/2005 14 Frame/Steel/Bolting/Welding PA PC WALLS 09/30/2005 34 Rough Electric 09/30/2005 44 Rough/Ducts/Dampers 08/30/2005 21 Underground/Under Floor PA PC WALLS AND HARD LID AREAS PA PC AT EXPOSED AREAS AP PC COURTESY INSPECTION OF TOP OUT UNTIL Tl PERMIT ISSUED License Detail Page 1 of2 California Home Monday, Aug License Detail Contractor License # 334848 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P 7124,6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P7Q7/M7, only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 08/29/2005 * * * Business Information * * * CUSTOM PLUMBING AND RESTURANT CONSTRUCTION SERVICES PO BOX 460613 ESCONDIDO, CA 92046 Business Phone Number: (760) 749-9377 Entity: Sole Ownership Issue Date: 04/08/1977 Expire Date: 12/31/2005 * * *License Status * * * This license is current and active. All information below should be reviewed. * * *Classifications * Class Description C3< PLUMBING * * ** * * Bonding Information i CONTRACTOR'S BOND: This license filed Contractor's Bond number 9068337 in the arr http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 08/29/2005 License Detail Page 2 of2 $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2004 Cancellation Date: 09/15/2005 Contractor's Bonding History Workers Compensation Information* * ** * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 229-0030016 Effective Date: 04/01/2005 Expire Date: 04/01/2006 Workers Compensation History Personnel List I License Number Request • Contractor Name Request Personnel Name Request •Salesperson Request USalesperson Name Request~~ ~ ; 1 • " -":""" "—^^— © 2005 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 08/29/2005